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What Is HightsvilleHormone Replacement Therapy?
HRT (also known as hormone therapy, menopausal hormone therapy, and estrogen replacement therapy) uses female hormones — estrogen and progesterone — to treat common symptoms of menopause and aging. Doctors can prescribe it during or after menopause.
After your period stops, your hormone levels fall, causing uncomfortable symptoms like hot flashes and vaginal dryness, and sometimes conditions like osteoporosis. Hightsville HRT replaces hormones your body no longer makes. It’s the most effective treatment for menopause symptoms.
Fight Depression With Hormone Replacement Therapy
Can menopause symptoms be safely comforted with bioidentical hormones? Recent research suggests that menopause can be treated with bioidentical hormones, a natural replacement for a woman's body, with no reported side effects.
In the past, menopause has been treated like a disease - primarily with Hormone Replacement Therapy or HRT (including Premarin, which is made from pregnant mare's urine, Prempro and Provera), which meant ingesting synthetic chemicals on a regular basis. Now we know that these drugs are causing the very problems we're trying to avoid including breast cancer and heart attacks.
Bioidentical means the hormone molecule in the product, for example progesterone cream, acts exactly like the molecules produced by the female body. They function in your body in a natural and normal way unlike synthetic chemicals. A "natural hormone" is really a compound synthesized in the lab from a natural source (such as soybeans used for estrogens and testosterone; or wild Mexican yam in the case of progesterone and sometimes testosterone).
Synthetic hormones are typically only available in oral form, but bioidentical hormones come in a variety of delivery systems such as oral, transdermal patch, cream, lotion or sublingual drops. Bioidentical hormones recently caught mainstream attention in part because of Suzanne Somer's new book, The Sexy Years
Typically a successful approach to dealing with a woman's menopausal symptoms is to begin with laboratory tests of hormone levels called a "hormone panel." The doctor can then prescribe a precise dosage of bioidentical estrogens, testosterone or DHEA that can be made for you at a Compounding Pharmacy This is contrary to HRT treatments that are typically "one size fits all."
Most doctors prescribing bioidentical hormones find that a large percentage of women find some relief by using medical-grade supplements, over-the-counter bioidentical progesterone, and dietary and lifestyle changes (including the proper nutrition and exercise). And, for the percentage of women who need a little more help, most doctors don't support the idea that bioidentical hormones should be used indefinitely as some kind of fountain of youth.
Is it right for you to treat your menopause with bioidentical hormones? First you need to consult with a doctor to get the right answer for you. Once you know what you need, your doctor and you can work out the best alternative for your body.
Bioidentical hormones are often synthesized from plants, and processed to make them resemble, or become entirely identical to the hormones within our bodies. Bioidentical hormone preparations are often compounded by pharmacists, with respect to the quantity recommended by the doctor.
We have a conflict of interest here with the pharmaceutical industry, because they are unable to patent human hormones that are molecularly identical to actual substances in the body. Therefore everything that you hear about bioidentical hormones must be viewed with a skeptic eye, because of the pharmaceutical companies massive influence over the health industry.
These hormones are mainly used by females, to alleviate the signs and symptoms of menopause. A scientific study compared the usage of bioidentical progesterone cream to placebo, and learned that women using the cream experienced a massive decrease in symptoms, including hot flashes and night sweats. The cream had no effect on bone mineral density though.
Bioidentical hormones are generally prescribed as a healthier replacement for regular hormone replacement therapy, which has been proven to have serious adverse effects. Many people have voiced their criticism about this kind of treatment because it hasn't been analyzed extensively enough in clinical studies.
However, some scientific studies have demonstrated that these hormones are indeed healthier and also bring less risk of adverse effects than the synthetic versions. This includes significantly less risk of blood clots as well as cancer, the two primary issues concerning conventional hormone replacement therapy.
It's imperative that you realize that these types of hormones haven't been studied as extensively as the standard, artificial ones. This is very understandable because the main sources of research funds are the drug companies, and they have absolutely no interest in studying a substance that can not be patented or marketed for massive price tags.
Unfortunately, because scientific studies are missing, it is not easy to find details about the side effects of bioidentical hormones in the literature, but it appears obvious how the side effects tend to be less severe than with regular hormone replacement therapy.
I'm not really thrilled about individuals playing around with the hormones in their bodies, because this might have unpredictable consequences. If the symptoms of menopause are leading to big problems in that case bioidentical hormones can be a safe alternative to standard treatment.
I would personally also suggest using as little of them as possible, for as brief a time as possible. Menopause is really a natural occurrence that happens with getting older, and even though treatment methods are possible, doesn't mean they're always the right thing to do.
Make sure that if you are undergoing any kind of hormonal treatment, to do it under supervision by a physician who has knowledge of these matters, hormones are nothing to play around with.
So the medical profession insists on using what it is familiar with, and that is drugs. Bioidentical hormones are becoming more familiar to doctors, and more and more doctors are willing to prescribe them. But its far from the majority--many will not.
Why bother with bioidentical hormones? Wouldn't they have the same side effects as what doctors now prescribe. Doctors who use them say no, that they do not have the side effects and risks of drug HRT. While most women are already aware of the risks associated with hormone replacement therapy, it may be helpful to look at the issue quickly.
Risks of HRT
Many studies have underscored the risks of HRT. The biggest is The Women's Health Initiative. The study followed 160,000 women between 1993 and 1998. It compared the health of women on different combinations of HRT with women who were not.
The study reported that the women on HRT had greater risk for a variety of health problems. The study showed that the women on HRT had a significantly increased risk for breast cancer, heart attack, stroke and blood clots. The study showed that HRT benefited some conditions, decreasing the risk of colorectal cancer and of hip fractures due to osteoporosis.
Hormone Therapy: What It Is and How It Can Help You
Tender breasts or enlargement of breasts:
Men have some testosterone that gets converted to estrogen but normally isn't enough to cause estrogenic side effects such as gynecomastia (breast enlargement) But when taking supplemental doses of testosterone, particularly through hormone replacement therapy, much of it is converted to estradiol. The result of which, is feminized characteristics in men such as enlarge breasts.
There have been no reports of liver toxicity from transdermal testosterone replacement. However, for those on oral testosterone replacement, there have been a significant number of men reported to have developed liver problems. Incidentally, this is also the reason why all manufacturers of hormone replacement medications are now mentioning the possibility of liver failure when using their products.
One of the most important side effects of testosterone replacement therapy is the increase in the red blood cell mass and hemoglobin levels (Polycythemia). This is particularly true of older men as the increase of blood cell mass may lead to the possibility of heart attacks, strokes or peripheral clotting in the veins.
Hormone replacement therapy for men can cause prostate growth. Prostate growth can cause problems with urination or at worse, may promote the growth of cancerous prostate cells. It is noteworthy to state that prostate cancer is a common cancer for older men and the second most common cause of cancer deaths.
Sally, one of my senior colleagues was in her mid forties when she experienced night sweat for the first time in her life. It was cold inside, yet she was all covered up with sweat. The story does not end there; she shares with us more of her experiences like depression, anxiety, hot flash, vaginal dryness, low sex drive and few more. Well, sally was going through the symptoms of menopause. It literally meant a sudden 'change of life' for her. She suddenly started look different and started talking about strange things like 'getting everything in order'. Any way, the cheery, confident Sally was gone and as if a different person came to work with us. It was evident that Sally failed to accept this natural transition of life with grace. It was then somebody broached the topic of hormone therapy to Sally. After a brief phase of indecision, sally decided in favor of hormone replacement therapy and today she is her active, enterprising self again and most importantly finally she came to realize that menopause meant only the end of reproductive life of a woman; it is not the end of life.
So what does a hormone therapy mean that brought about such a positive change in the life of Sally and why only Sally? Millions of women all across the USA, every year take recourse to the hormone replacement therapy to live a life happier and healthier in their post menopausal days.
No matter by what name you call it-- Hormone therapy or hormone replacement therapy or ovarian hormone therapy, it is a treatment involving the use of estrogen and progesterone to supplement the declining levels of these hormones in female body during the days of menopause. The modern medical sciences are of the opinion that the term , "hormone replacement therapy" is contradictory to the very spirit of the treatment as the name suggests that menopause is a disease caused by hormone deficiency. But menopause is just a natural phase of a woman's reproductive life and the entire life cycle as puberty is. So the term "hormone therapy" has become more popular over time.
Menopause is natural, but it is not that easy to deal with its symptoms. So it is no wonder that more and more American women are considering a hormone treatment as they reach the menopausal period in their 40's and 50's. But giving a consideration and taking the actual decision are not same and so there are considerable dilemma between the thinking and ultimately taking the decision. Most of the women swing between the question: to do or not to do? They can not be blamed for this indecision for making an informed decision about hormone therapy is difficult. One comes to read about so many benefits of this therapy only to be contradicted by a sea of risk factors written in another book or magazine or website. So before taking the decision you have to weigh carefully the pros and cons of this treatment.
However, there are some women who are not considered ideal candidate for hormone therapy. They include the Women with certain conditions should not take hormone therapy. These include the women diagnosed with breast cancer, active liver disease, a history of blood clots or vaginal bleeding without any apparent reason.
Any decision regarding hormone therapy must be taken after through discussion with your physician who will decide after taking into consideration such factors as your age, medical history, overall health and Current symptoms.
Herbs and Supplements for Menopausal Symptoms - Is there Any Evidence of Benefit?
Hot flashes or flushes are described as a sudden feeling of warmth or heat within the body and often with associated sweating. A hot flash can be an intense feeling of heat usually in the upper half of the body but can be experienced in the lower half as well.
The exact cause of hot flashes isn't known but they do know that factors affecting the regulatory area of the brain, the hypothalamus, regulates body temperature. When the brain senses an increase in body temperature it will release chemicals which cause the blood vessels in the skin to dilate in an attempt to release the heat. It is said that estrogen and testosterone allow the body to tolerate changes in core body temperature, therefore, as these hormones decrease in peri-menopause and menopause so does your body's ability to tolerate increased heat.
In my opinion this is only part of the problem. I believe it is more of an imbalance in the hormone family than just a decrease in estrogen and testosterone. In some women, when estrogen is balanced with progesterone, hot flashes decrease or stop altogether. Knowing what is out of balance will help you determine why you have hot flashes in the first place. Hot flashes are not normal, they are one of your body's very intelligent ways of communicating a larger problem.
Lifestyle, stress and dietary habits play a huge role in the occurrence and frequency of hot flashes and night sweats. Known hot flash triggers are:
Physical, Emotional & Dietary Stress
Over the Counter Medications
Know what your triggers are and attempt to avoid them as much as possible. Avoid closed, hot rooms and lower the temperature in your surroundings. Dress in layers and do not wear synthetic clothing as they trap the sweat. Cotton clothing allows your skin to breath. Increase your exercise routine to 30 minutes per day and get sound, quality sleep. Decreasing stress is a no-brainer but not so easy to do. Practice stress reducing techniques and mindfulness. Absolutely avoid processed foods including; boxed and canned goods, fast foods, enriched breads, sugars, sodas, etc. These non-foods put undue stress on your digestive system and ultimately your endocrine system (hormones).
So what's the problem with (HRT) Hormone Replacement Therapy? Most of us have heard the stories, read the articles and have seen the warnings. The possible side-effects of HRT are just a bit too scary for me. Breast and/or uterine cancer, heart disease, blood clots, and stroke being the most prominent. Unfortunately, some of you have even experienced one of these yourself. And, watch out ladies, bio-identical hormone replacement therapy can be dangerous as well. Natural progesterone cream is sold over the counter and being used without knowing one's hormone levels. Hormone creams and gels must be used very carefully and monitored closely with appropriate testing. One of the many problems with using the transdermal creams and gels is that they are absorbed into the subcutaneous fat tissue where they build up and can eventually saturate the tissue and over time start to spill back into the system creating an overdose of the 'free fraction' of the hormone in the body. At this point your cells will down-regulate (not accept) the hormone and you will once again have the symptoms of deficiency while you actually have too much of the hormone in your system. Routine (serum bound) blood tests cannot accurately monitor the use of transdermal creams and gels. Testing must be performed in the free state, otherwise a person will be profoundly overdosed with 'free' hormone levels by the time the blood tests detect any significant changes. I have witnessed many a website advising the use of creams and gels without regard to the individual's symptoms, history or tested levels. This is totally irresponsible and a major problem for women looking for an end to the sometimes debilitating symptoms of menopause. When administering a hormone in a 'free' form you must test for and monitor the hormone in a 'free' form (saliva or serum free). Since hormones are interactive, the problem doesn't end here. Depending on the hormone being overdosed, multiple other imbalances will stream into the system. Hormones given in amounts that exceed normal physiologic needs will cause receptor cell down-regulation (the cells will not accept the hormone once the liver can no longer clear the excessive levels). In addition, Brain, HP (hypothalamus/pituitary) dysregulation is created and atrophy of the gland as well.
DHEA is also sold over the counter. You can literally go into a health food store and buy a bottle of 25 mg capsules of DHEA. Women should not take DHEA unless absolutely necessary. Women are especially sensitive to DHEA and will not tolerate DHEA if not needed, or if given in too large of an amount. In fact, the majority of men do not need 25 mg DHEA daily. What's the big deal? DHEA can boost estrogen levels or testosterone levels and for women that could mean facial hair, deeper voice, not to mention dys-regulating the steroid hormone family even more. Hormones are very powerful messengers in very tiny amounts. Start playing with the numbers and you could be creating some very serious health problems for yourself. This goes for the men as well. For men, when taking DHEA in higher than needed amounts it will convert to Estrogen.
OK, now that I've gone on and on what are some of the solutions? Medically, I've seen recommendations for prescription drugs such as Effexor, an anti-depressant which has been successful in relieving hot flashes in low doses. The two problems I see here is that #1, it is not solving the problem and #2, there are side-effects to every medication known. You're putting a band-aid on the problem and worse than that you will, in all probability, have a known or unknown side effect from the medication. They are now performing clinical trials on the drug Menerba. From what I can gather it is a plant based drug with 10 or 20 herbs, licorice being the major player. Hmmm, maybe I'll just try some licorice?
Let's look at some of the herbs that may be of value here:
Indicated for hormonal support. Tribulus is known to boost male and female fertility and libido, enhance athletic performance, stamina and endurance, restore and build vitality, relieve menopausal symptoms and is helpful in male menopause.
Black Cohosh -
Is specific for menopausal symptoms such as reproductive problems, especially when accompanied by pain: amenorrhea, dysmenorrhea, uterine pain, ovulatory pain, post-partum pain, testicular and prostatic pain, and menopausal symptomotology such as anxiety, depression and insomnia. It is mildly useful for hot flashes and is more effective when used with Chaste Tree, Motherwort, Licorice, and Dang Gui. Black Cohosh is contraindicated in pregnancy & low blood pressure.
This herb is getting a lot off attention for its' role in decreasing hot flashes. Although a cooling herb Sarsaparilla is more specific for inflammatory conditions of the skin, connective tissue, and bowels. That being said, it does clear blood heat and is used with other herbs to reducef hot flashes.
Red Clover -
The isolated isoflavones are being used to treat menopausal symptoms. Since it is a cooling herb it can help reduce hot flashes.
Licorice - Contains isoflavones and is used for menopausal symptoms such as hot flashes and vaginal dryness. More effective when used with Chastetree, Black Cohosh, Motherwort, and Sage. High doses of Licorice is contraindicated in people with high blood pressure.
Soy - I'm going to be very opinionated here. I don't believe soy is meant for human consumption, there is a tremendous amount of controversy about the efficacy of soy and about the fact that is does not digest in the human body. BTW, soy is not an herb.
Wild Yam - What can I say, some experts swear by it and others say that is has no real benefit for menopausal symptoms, including hot flashes.
When using herbs be sure to purchase your herbs from a known and reputable source. Do a bit of research to be sure the herb is not contraindicated with any medications and/or physical challenges you may have.
No matter how long you have been suffering with hot flashes and/or other symptoms of peri-menopause and menopause, it's not too late to stop hot flashes now. The good news is - You can begin by knowing your triggers and avoiding them. Eat a healthy well balanced diet. Find a qualified herbalist or hormone specialist and discover your hormonal levels so that you can begin the balancing act for a healthier and happier you.